Health Insurance is an insurance plan that provides comprehensive coverage against medical expenses, hospital bills, and other costs related to medical treatments. It protects the insured person against the financial risks that come with an illness or accidental injury.
Enjoy the flexibility to choose between two plan variants along with sum insured options ranging from Rs 1.5 lakh to Rs 50 lakh.
You will be eligible for a benefit pay out of Rs 5,000 annually, in case of continuous hospitalisation for a period of 10 days or more and provided that your hospitalisation claim is admissible.
If you completely exhaust your sum insured along with the cumulative bonus (if any) during the policy year, we will reinstate the same.
This policy covers ambulance expenses incurred up to Rs 20,000 incurred at the time of discharge.
A daily cash benefit of Rs 500 per day, for up to 10 days, during each policy year is provided as accommodation expenses for one parent/legal guardian to stay with a minor insured under the policy, for an admissible claim.
As per the Gold Plan of the policy, in-patient hospitalisation expenses up to Rs 20,000 incurred in a recognised Ayurvedic/homoeopathic hospital are covered if the admission period is not less than 24 hours.
This policy covers extended family members including parents, in-laws and siblings, on an individual basis.
This policy covers medical expenses incurred during the treatment of listed day care procedures or surgeries.
Bariatric surgery is covered under medical advice, subject to certain terms and conditions; under the Gold Plan.
This policy covers pre and post hospitalisation expenses up to 60 days and 90 days respectively.
This policy covers expenses towards organ donor’s treatment for harvesting of the donated organ.
Under the Gold Plan, maternity expenses and medical expenses towards treatment of a new born baby is covered, subject to certain terms and conditions.
The Health Insurance premium amount mainly depends on the sum insured and the number of members covered under the Health Insurance policy. Here are a few other factors that determine your Health Insurance premium:
Under the Family Floater Health Insurance plan, you can cover yourself, your spouse and up to 4 dependent children. For parents and in-laws, you can opt for a separate health insurance policy.
Pre hospitalisation expense is as a result of tests, medication that would have to be undertaken prior to the hospitalisation for the treatment. Similarly, post hospitalisation expenses can be for recovery and medicines that need to be taken post the hospitalisation treatment. Pre and post hospitalisation are 60 and 90 days respectively.
When you fall sick, you usually consult your family physician and get relevant investigations done. On the advice of your physician, you get hospitalised for further treatment of the disease if required. These medical expenses incurred before hospitalisation are called pre hospitalisation expenses.
Post hospitalisation expenses include all expenses or charges incurred by you after you are discharged or after hospitalisation treatment is done. For example, the consulting physician may prescribe certain tests to ascertain your progress or recovery after surgery.
A deductible is a fixed amount that you have to pay at the time of claim that will not be reimbursed. At the time of settlement, we will pay the claim amount minus the deductible.
Day-care treatments are such medical procedures (surgeries or treatments) that can be completed in less than 24 hours. In such cases, even though you may be hospitalised, you don’t have to stay in the hospital for more than 24 hours.
Pre-existing diseases are those you may already know the existence of in your life before you buy a medical insurance policy. Hence, you must declare any pre-existing disease/condition at the time of buying a medical insurance plan.
One of the key factors to keep in mind is that the pre-existing diseases have a waiting period (which differs from company to company). Hence, by taking a policy at a young age you can only hope that by the time, and if you are diagnosed with a disease that falls under the pre-existing category, your waiting period will be complete. Also, you can ensure that you are eligible to avail full benefits of your medical insurance policy.
Bajaj Allianz General Insurance Health Insurance policy helps you save tax up to Rs 1 lakh under Section 80D against the premiums you pay. Here’s how you can save tax:
On the premiums you pay for yourself, your spouse, children and parents, you can avail Rs 25,000 per annum as a deduction against your taxes (provided you are not over 60 years). If you pay a premium for your parents who are senior citizens (age 60 or above), the maximum health insurance benefit for tax purposes is capped at Rs 50,000. As a taxpayer, you may, therefore, maximise tax benefit under Section 80D up to a total of Rs 75,000, if you are below 60 years of age and your parents are senior citizens. If you are above the age of 60 years and are paying a medical insurance premium for your parents, the maximum tax benefit under Section 80D is, then, Rs 1 lakh.
Your coverage amount depends on your lifestyle, medical background, pre-existing diseases, members of your family, annual income, residential address and age.
For senior citizens, a medical check-up is required prior to buying insurance. A valid identity card, address proof, age proof and passport size photo are required for all policyholders.
Age proof: Birth certificate, Passport, Driver’s License, Voter ID card.
ID proof: Driving license, Passport, PAN card, Aadhaar card
Address proof: Electricity bill, Telephone bill, Ration card, Passport, Aadhaar card.
Yes, you can cancel your Health Insurance policy. We provide a free period of 15 days from the date of policy issuance within that you can cancel the policy and avail a refund if you are not satisfied with it. However, your refund will be adjusted against any expenses incurred such as underwriting costs, medical check-ups and so on.
After your claim is filed and settled, your insurance cover will be reduced by the amount that has already been paid to you. For example, if your policy was issued in January with a Rs 5 lakh coverage and if you claimed an amount of Rs 3 lakh in July, then a balance of Rs 2 lakh is available to you between August-December.
You can make the premium payment using the following modes:
Mediclaim policy only provides cover against hospitalisation and treatment expenses for a defined pre-specified illness as per the sum insured. Health Insurance policy covers pre and post hospitalisation expenses.
Cashless facility at network hospitals is available 24x7, throughout the year without any interruption in service. You must check the hospital list before getting admitted to the hospital. Hospitals that provide cashless settlement are liable to change their policy without notice. The updated list is available on our website and with our call centre. Bajaj Allianz Health Card along with a government ID proof is mandatory at the time of availing cashless facility.
When you are opting for cashless claims, the process is as follows: